Provider Demographics
NPI:1841341716
Name:JAMES A. WILLIAMS O.D.P.C.
Entity type:Organization
Organization Name:JAMES A. WILLIAMS O.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-516-0026
Mailing Address - Street 1:2601 PRESTON RD
Mailing Address - Street 2:SUITE 2124
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9468
Mailing Address - Country:US
Mailing Address - Phone:972-335-9529
Mailing Address - Fax:972-377-0648
Practice Address - Street 1:2601 PRESTON RD
Practice Address - Street 2:SUITE 2124
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9468
Practice Address - Country:US
Practice Address - Phone:972-335-9529
Practice Address - Fax:972-377-0648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3553TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0057PPOtherBCBS - GROUP
TX0057PPOtherBCBS - GROUP
TXT89629Medicare UPIN